Blood sugar and insulin resistance going up during treatment

This topic has 5 replies, 2 voices, and was last updated 6 years, 7 months ago by JohnSmith.

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19 August 2018 at 3:58 am #28471
Dr James
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@fixhepc
Hi John,

Diabetes is 3 x as common in people with Hep C.

It’s also considerably more common in people who are overweight.

Diabetes just needs to be looked at, and treated, on its merits with no consideration of the Hep C.

We do see pre-diabetes resolve in overweight patients who loose weight, but this is easier said than done. The diabetes medication Metformin is the commonest starting med and interestingly helps about 50% of people lose some weight.

YMMV
19 August 2018 at 10:15 am #28479
JohnSmith
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@johnsmith
When you say Metamorfin is a starting medication you mean it’s a diabetes or pre-diabetes medication?

How long does it take to get from pre-diabetes to diabetes? Ten months ago my blood sugar level was 94 and my Hb1Ac was 5.4

I’m already changing my lifestyle but I need some time to lose the weight.

Thanks
2 September 2018 at 9:56 am #28526
JohnSmith
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@johnsmith
My only concern is that my labs seem worse during treatment. As I’ve mentioned ALP doubled, my glucose went up and my INR is 1.16 which seems a disaster to those cirrhosis equations like Gucci and CDS.

Can this be caused by the meds? Also, I was taking motoprolol at the time.

I was hoping that everything would be better.
3 September 2018 at 2:28 am #28527
Dr James
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@fixhepc
Hi John,

Why don’t you book in with me on https://gp2u.com.au/ and we can run through all your worries?

YMMV
3 September 2018 at 4:55 am #28528
JohnSmith
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@johnsmith
That’s a great idea! I think it would be more appropriate and efficient. It makes more sense.

I’m on the end of treatment. Less than two weeks to go. Just let me finish it and make new exams and I’ll schedule an appointment with you so we can discuss what I can expect from now on.

Thank you for your patience and kindness. I know I’m not the easiest patient to deal with.

Thank you very much.
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